Download IVC™ Bariatric Bed

Transcript
Owner’s Operator and Maintenance Manual
IVC™ Bariatric Bed
BAR600IVC
USER: Before using this product, read this
manual and save for future reference.
DEALER: This manual MUST be given to the
user.
For more information regarding
Invacare products, parts, and services,
please visit www.invacare.com
WARNING
DO NOT use this product or any available optional equipment without first
completely reading and understanding these instructions and any additional
instructional material such as owner’s manuals, service manuals or instruction
sheets supplied with this product or optional equipment. If you are unable to
understand the warnings, cautions or instructions, contact a healthcare
professional, dealer or technical personnel before attempting to use this equipment
- otherwise, injury or damage may occur.
The initial set up of this bed must be performed by a qualified technician.
Procedures other than those described in this manual must be performed by a
qualified technician.
For Dealers Only - Set-up and Assembly Instructions are in the rear of this manual.
These procedures must be performed by a qualified technicians only.
ACCESSORIES WARNING
Invacare products are specifically designed and manufactured for use in conjunction
with Invacare accessories. Accessories designed by other manufacturers have not
been tested by Invacare and are not recommended for use with Invacare products.
SPECIAL NOTE
For your convenience, the March 2006 version of the FDA’s bed safety guidelines
are provided in the Appendix. The information from the FDA’s brochure, published
by Hospital Bed Safety Workgroup, is reproduced verbatim, the latest revision of
which is available at http://www.fda.gov.
IVC™ Bariatric Bed
2
Part No 1123842
TABLE OF CONTENTS
TABLE OF CONTENTS
REGISTER YOUR PRODUCT ............................................................... 5
SPECIAL NOTES ................................................................................ 6
TYPICAL PRODUCT PARAMETERS .................................................... 7
LABEL LOCATIONS ........................................................................... 8
SECTION 1—GENERAL GUIDELINES ................................................. 10
Important Safety Instructions ................................................................................................................10
Operating Information.............................................................................................................................10
Replacement Parts/Accessories ............................................................................................................12
Electrical .....................................................................................................................................................13
Repair or Service Information...........................................................................................................13
Grounding Instructions.......................................................................................................................14
Radio Frequency Interference ...............................................................................................................14
Weight Limitations ...................................................................................................................................14
SECTION 2—OPERATION AND ADJUSTMENT .................................. 15
Operating Bariatric Bed ..........................................................................................................................15
Operating Bariatric Bed......................................................................................................................15
Raising and Lowering Entire Bed......................................................................................................16
Raising and Lowering Head and Foot Sections .............................................................................16
Emergency Crank .....................................................................................................................................17
Optional Bed Rails....................................................................................................................................17
SECTION 3—MAINTENANCE ........................................................... 18
Washing Bed Ends ....................................................................................................................................18
Cleaning Head and Foot Sections.........................................................................................................18
Maintenance and Cleaning Checklist....................................................................................................19
Cleaning and Disinfecting Bed...........................................................................................................19
Mechanical Inspection and Maintenance.........................................................................................19
Electrical Inspection and Maintenance ............................................................................................19
PASS/FAIL ..............................................................................................................................................19
SECTION 4—TROUBLESHOOTING .................................................... 20
Troubleshooting: Electrical.....................................................................................................................20
Troubleshooting: Mechanical .................................................................................................................20
Part No 1123842
3
IVC™ Bariatric Bed
TABLE OF CONTENTS
TABLE OF CONTENTS
ASSEMBLY, MAINTENANCE AND ADJUSTMENT SECTIONS FOR DEALERS ONLY ....................................................................... 21
Overview of Procedures.........................................................................................................................21
Receiving ................................................................................................................................................21
Unpacking ..............................................................................................................................................21
Inspecting ...............................................................................................................................................21
Set-Up.....................................................................................................................................................21
Storing ....................................................................................................................................................21
SECTION 5—PACKAGING, HANDLING AND SET-UP ......................... 22
Receiving.....................................................................................................................................................22
Unpacking ...................................................................................................................................................22
Unpacking Bed Ends ............................................................................................................................22
Unpacking Foot and Head Sections .................................................................................................23
Inspecting....................................................................................................................................................24
Set-Up .........................................................................................................................................................24
Assembling/Disassembling Head and Foot Sections ....................................................................24
Installing/Removing Universal Bed Ends..........................................................................................26
Installing Casters ..................................................................................................................................26
Connecting Head Actuator Jumper Cable .....................................................................................28
Assembling/Installing/Removing Drive Shaft ..................................................................................30
Inspecting the Bed................................................................................................................................32
Storing the Beds........................................................................................................................................32
SECTION 6—MAINTENANCE ........................................................... 33
Washing Bed Ends ....................................................................................................................................33
Cleaning Head and Foot Sections.........................................................................................................33
Maintenance Checklist.............................................................................................................................34
Mechanical Inspection and Maintenance.........................................................................................34
Electrical Inspection and Maintenance ............................................................................................34
Pass/Fail ..................................................................................................................................................34
SECTION 7—TROUBLESHOOTING .................................................... 35
Troubleshooting: Electrical.....................................................................................................................35
Troubleshooting: Mechanical .................................................................................................................36
IVC™ Bariatric Bed
4
Part No 1123842
TABLE OF CONTENTS
TABLE OF CONTENTS
APPENDIX ..................................................................................... 37
A Guide to Bed Safety Bed Rails in Hospitals, Nursing Homes and Home Health Care: The
Facts....................................................................................................................................................................37
Bed Rail Entrapment Statistics ..........................................................................................................37
Patient Safety.........................................................................................................................................37
The Benefits and Risks of Bed Rails.................................................................................................37
Meeting Patients' Needs for Safety ..................................................................................................38
Which Ways of Reducing Risks are Best?......................................................................................38
Patient or Family Concerns About Bed Rail Use .........................................................................39
Developed by the Hospital Bed Safety Workgroup ....................................................................39
LIMITED WARRANTY ..................................................................... 40
REGISTER YOUR PRODUCT
The benefits of registering include:
1. Safeguarding your investment.
2. Ensuring long-term maintenance and servicing of your product.
3. Receiving updates with product information, maintenance tips and industry news.
Register ONLINE at warranty.invacare.com
Please have your model number and purchase date available to complete your registration.
Any registration information you submit will only be used by Invacare Corporation and protected
as required by applicable laws and regulations.
Part No 1123842
5
IVC™ Bariatric Bed
SPECIAL NOTES
SPECIAL NOTES
Signal words are used in this manual and apply to hazards or unsafe practices which
could result in personal injury or property damage. Refer to the table below for
definitions of the signal words.
SIGNAL WORD
MEANING
DANGER
Danger indicates an imminently hazardous situation which, if not avoided,
will result in death or serious injury.
WARNING
Warning indicates a potentially hazardous situation which, if not avoided,
could result in death or serious injury.
CAUTION
Caution indicates a potentially hazardous situation which, if not avoided,
may result in property damage.
NOTICE
THE INFORMATION CONTAINED IN THIS DOCUMENT IS SUBJECT TO
CHANGE WITHOUT NOTICE.
PENDANT OPERATION
A safety feature of this product includes protection against overheating caused by
excessive or extended periods of operation. Depending on the duration, this
includes multiple or repeated adjustments or the use of multiple functions at one
time. To ensure trouble free operation, ALWAYS allow a slight pause between
multiple adjustments and avoid pressing more than one function button at a time. If
thermal protection activation should occur, the bed will not respond to pendant
commands. Given this situation, release the pendant button and allow the bed unit
to sit for several minutes. This will allow the protection function time to reset and
restore bed function. Depending on severity of the initial overheating, this could
take up to 30 minutes.
The emergency crank MUST be removed before the bed is used. Failure to remove
the crank may cause damage or personal injury.
IVC™ Bariatric Bed
6
Part No 1123842
TYPICAL PRODUCT PARAMETERS
TYPICAL PRODUCT PARAMETERS
IVC BARIATRIC BED
FOOT END
MINIMUM:
MAXIMUM:
26.25 inches (66.7 cm)
33.75 inches (85.7 cm)
DECK HEIGHT*
MINIMUM (DOWN POSITION):
MAXIMUM (UP POSITION):
14 inches (35 cm) ± 2 inches
22 inches (55 cm) ± 2 inches
BED
OVERALL LENGTH:
WIDTH:
88 inches (223.5 cm)
42 inches (106.7 cm)
SPLIT SPRINGS TO ENDS
HEAD:
FOOT:
43 inches (109.2 cm)
45 inches (114.3 cm)
SHIPPING WEIGHT
275 lbs
WEIGHT LIMITATION
700 lbs (Including accessories, matress,
occupant and any other objects positioned
on the bed)
*NOTE: Height from floor to bed deck.
The following table lists each bed model number and the components associated with it.
An “X” will denote the components required for a complete bed assembly.
BED NAME (MODEL NUMBER)
BAR600IVC
HEAD SPRING WITH ONE (1) MOTOR (BAR5000IVC)
X
UNIVERSAL BED ENDS (BAR5301IVC)
X
FOOT SPRING WITH TWO (2) MOTORS (BAR5490IVC)
X
Part No 1123842
7
IVC™ Bariatric Bed
LABEL LOCATIONS
LABEL LOCATIONS
NOTE: Underside of bed shown.
Serial number
label located here.
Power Cord
WARNING
For proper grounding, junction box MUST
be securely connected to the bed with metal
screws and spacer provided or electrical
shock could occur.
1108103 Rev.A(1) - 08/01
! WARNING !
Grounding reliability can
ONLY be achieved when the
equipment is connected to a
receptacle marked "Hospital
Only" or "Hospital Grade".
Rev D (1) 02/00
IVC™ Bariatric Bed
8
P/N 034059
Part No 1123842
LABEL LOCATIONS
NOTE: Labels located on bed frame.
Part No 1123842
9
IVC™ Bariatric Bed
SECTION 1—GENERAL GUIDELINES
SECTION 1—GENERAL GUIDELINES
WARNING
SECTION 1 - GENERAL GUIDELINES contains important information for the safe
operation and use of this product.
Important Safety Instructions
When using the bed, basic precautions should always be followed, including the
following:
Read all the instructions before using the bed.
DANGER - To reduce the risk of electric shock:
1. Always unplug the bed from the electrical outlet before cleaning.
WARNING - To reduce the risk of burns, fire, electric shock, or injury to persons:
1. Unplug from the outlet before servicing.
2. Close supervision is necessary when the bed is used by, or near children
and/or disabled persons.
3. Use this bed only for its intended use as described in these instructions. DO
NOT use attachments not recommended by the manufacturer.
4. NEVER operate this bed if it has a damaged cord or plug, if it is not working
properly, if it has been dropped, damaged, or dropped into water. Return the
bed to a service center for examination and repair.
5. Keep the cord away from heated surfaces.
6. DO NOT use outdoors.
7. Use masked or nasal type oxygen administering equipment only in
conjunction with the manual/electric bed. The use of ANY other type of
oxygen administering equipment can result in a fire hazard.
8. To disconnect, DO NOT depress pendant buttons.
9. Risk of electric shock - Connect this bed to a properly grounded outlet only.
Refer to Grounding Instructions on page 14.
10. Risk of injury to persons - DO NOT place video equipment such as televisions
or computer monitors on bed.
SAVE THESE INSTRUCTIONS
Operating Information
Check all parts for shipping damage and test before using. In case of damage, DO NOT
use. Contact a qualified technician for further instruction.
After any adjustments, repair or service and before use, make sure all attaching hardware
is tightened securely.
IVC™ Bariatric Bed
10
Part No 1123842
SECTION 1—GENERAL GUIDELINES
Close supervision is necessary when the manual/electric bed is used by or near children
and physically challenged individuals.
DO NOT let any individual underneath the bed or in between the raised bed frame
components at anytime.
When bed is not to be used for an extended period, unplug electric bed from the wall
outlet.
Keep the product a minimum of 12 inches away from any direct heat source.
DO NOT unplug power cord from junction box.
If a liquid is spilled in or around the electric bed, unplug the electric bed before cleaning.
Clean up the spill and allow the electric bed or the area around the electric bed to dry
thoroughly before using the electric controls again.
The manual/electric bed is not designed to be used as a patient transport. When transporting
a patient, use an approved patient transport. Otherwise, injury or damage may result.
When operating/moving electric beds, ALWAYS ensure that the individual utilizing the
bed is positioned properly within the confines of the bed. DO NOT let any extremities
protrude over the side or between the bed rails when performing these functions.
After the electric bed has been assembled, ALWAYS test to make sure that all sections of
the electric bed are properly and securely in place before using.
Make sure head and foot springs/sections are connected securely to the universal bed
ends before use.
The pendant and power cords MUST be routed and secured properly to ensure that the
cords DO NOT become entangled, pinched and/or severed during operation of the
electric bed.
NEVER operate the unit if these cords are damaged.
If the unit is not working properly, call a qualified technician to examine the unit and
repair it.
Keep all moving parts, including the main frame, mattress deck (head and foot
springs/sections) and all drive shafts, free of obstruction (i.e. blankets/sheets, heating
blankets/pads, tubing, wiring, etc. and other types of products using electric cords which
may get tangled around the bed, side rails or legs) during operation of the electric bed.
The electric bed is equipped with locking casters. When transferring into or out of the
electric bed, ALWAYS lock the locking caster(s). Inspect the wheel locks for correct
locking action before actual use. Even with casters properly locked, some flooring
surfaces such as tile or wood, will allow the bed to move under some conditions. Use on
surfaces such as these must be evaluated by the care provider.
Part No 1123842
11
IVC™ Bariatric Bed
SECTION 1—GENERAL GUIDELINES
ENTRAPMENT WARNING
Proper patient assessment and monitoring, and proper maintenance and use of
equipment is required to reduce the risk of entrapment. Variations in bed rail
dimensions, and mattress thickness, size or density could increase the risk of
entrapment. Visit the FDA website at http://www.fda.gov to learn about the risks of
entrapment. Review “A Guide to Bed Safety”, published by the Hospital Bed Safety
Workgroup, located at www.invacare.com. Use the link located under each bed rail
product entry to access this bed safety guide.
Refer to the owners manuals for beds and rails for additional product and safety
information.
After any adjustments, repair or service and before use, make sure all attaching
hardware is tightened securely. Assist rails with dimensions different from the
original equipment supplied or specified by the bed manufacturer may not be
interchangeable and may result in entrapment or other injury.
Mattress MUST fit bed frame and assist rails snugly to reduce the risk of entrapment.
Replacement Parts/Accessories
Use masked or nasal type oxygen administering equipment only in conjunction with the
manual/electric bed. The use of any other type of oxygen administering equipment can
result in a fire hazard.
When using nasal or masked type oxygen administering equipment, the oxygen or air
tubing MUST be routed and secured properly to ensure that the tubing does not become
entangled and/or severed during normal operation of manual/electric bed.
ALWAYS test to make sure that the side rails are properly and securely in place before
using the manual/electric bed.
Invacare recommends that the mattress be centered on the bed frame. Otherwise,
individuals may become entangled between the bed rail and the bed frame.
Physically challenged individuals who cannot prevent themselves from rolling/climbing
out of the manual/electric bed may require alternative safe means of restraint.
When used with a manual/electric bed, the bed rails DO NOT fall under any weight
limitations. Bed rails can be deformed or broken if excessive side pressure is exerted on
the bed rails. These bed rails are used for the purpose of preventing an individual from
inadvertently rolling out of bed. The bed rails are not intended nor may be used for
restraint purposes. If an individual is capable of injuring himself/herself, a physician or a
healthcare professional should be consulted for alternative means of safe restraint.
IVC™ Bariatric Bed
12
Part No 1123842
SECTION 1—GENERAL GUIDELINES
After raising/lowering the head/foot end of the electric bed, check the distance between
the bottom of the bed rail and the mattress. If there is excessive distance between the
bottom of the bed rail and the mattress in which individuals may become entangled,
adjust the height of the bed rail (if applicable), or provide alternative means of patient
protection.
DO NOT use the side rails as push handles for moving the electric bed.
Replacement mattresses and bed side rails with dimensions different from the original
equipment supplied or specified by the bed frame manufacturer are not interchangeable.
Variations in bed side rail design, width and thickness or firmness of the mattress could
cause/contribute to entrapment.
Electrical
DANGER
When using an extension cord, use only a three wire extension cord having at least
16 AWG (American Wire Gauge) wire and the same or higher electrical rating as
the device being connected. Use of improper extension cord could result in a risk of
fire and electric shock. Three prong to two prong adapters should not be used. Use
of three prong adapters can result in improper grounding and present a shock hazard to the user.
NEVER operate if the unit has a damaged cord or plug. If it is not working properly, call
a qualified technician for examination and repair.
Keep all electrical cords away from heated or hot surfaces.
Ensure all cables and cords are routed such that they will not become entangled or
pinched. Otherwise damage or injury may result.
Repair or Service Information
DO NOT open assemblies such as the motors, pendant, junction boxes or gear boxes. No
user serviceable parts are inside. Only qualified technicians are permitted to repair these
parts. If unqualified individuals perform any work on these beds, the warranty is void.
Unplug the power cord from its power source before performing any maintenance on the
electric bed. DO NOT unplug the power cord from the junction box. Damage to cord will
result.
Before installing the connector into the junction box, be sure the side with the locking tab
is facing downward - otherwise, injury or damage may occur.
Part No 1123842
13
IVC™ Bariatric Bed
SECTION 1—GENERAL GUIDELINES
Grounding Instructions
Electric beds are equipped with three-prong (grounding) plugs for protection against
possible shock hazards. Where a two-prong wall receptacle is encountered, it is the
personal responsibility and obligation of the customer to contact a qualified electrician
and have the two-prong receptacle replaced with a properly grounded three-prong wall
receptacle in accordance with the National Electrical Code. If you must use an extension
cord, use only a three-wire extension cord having the same or higher electrical rating as
the device being connected. DO NOT, under any circumstances, cut or remove the round
grounding prong from any plug used with or for Invacare products. In addition, Invacare
has placed RED warning tags on some equipment. DO NOT remove these tags.
For proper grounding, junction box MUST be securely connected to the bed with metal
screws and the spacer provided or electrical shock could occur.
Radio Frequency Interference
Electronic equipment may be influenced by Radio Frequency Interference (RFI). Caution
should be exercised with regard to the use of portable communications equipment in the
area around such equipment. If RFI causes erratic behavior, unplug the electric bed
immediately. Leave unplugged while transmission is in progress.
Weight Limitations
The total weight limit of the Bariatric Bed (including accessories, mattress, occupant and
any other objects positioned on the bed) is 700 pounds (318 kg); 600 pounds (272 kg)
patient weight.
NEVER permit more than one person on the manual/electric bed at any time.
Body weight should be evenly distributed over the surface of the manual/electric bed. DO
NOT lay, sit or lean in such a way that your entire body weight is placed only on raised
head or foot sections of the bed. This includes when repositioning or transferring in or out
of bed.
IVC™ Bariatric Bed
14
Part No 1123842
SECTION 2—OPERATION AND ADJUSTMENT
SECTION 2—OPERATION AND
ADJUSTMENT
Operating Bariatric Bed
WARNING
NEVER operate if the unit has a damaged cord or plug. If it is not working properly,
call a qualified technician for examination and repair.
Keep all electrical cords away from heated or hot surfaces.
Ensure all cables and cords are routed such that they will not become entangled or
pinched. Otherwise, damage or injury may result.
DO NOT place pendant under or between objects. This may unintentionally press
the buttons and may cause injury or damage to occur.
Operating Bariatric Bed
NOTE: For this procedure, refer to FIGURE 2.1.
Before placing the bed into use, test it by operating it through all phases of its operation.
1. If any problems arise during the test, recheck all electrical connections and mechanical
hook ups.
2. A six-function pendant is used for all bed operations.
3. An emergency crank allows operation in the event of a power outage.
FIGURE 2.1 Operating Bariatric Bed
Part No 1123842
15
IVC™ Bariatric Bed
SECTION 2—OPERATION AND ADJUSTMENT
Raising and Lowering Entire Bed
NOTE: For this procedure, refer to FIGURE 2.2.
1. To raise the entire bed, press the Bed UP button.
2. To lower entire bed, press the Bed DOWN button.
Bed UP
Button
Bed DOWN
Button
FIGURE 2.2 Raising and Lowering Entire Bed
Raising and Lowering Head and Foot Sections
NOTE: For this procedure, refer to FIGURE 2.3.
1. To raise the head of the bed, press the Head UP button.
2. To lower the head of the bed, press the Head DOWN button.
3. To raise the foot of the bed, press the Foot UP button.
4. To lower the foot of the bed, press the Foot DOWN button.
Head DOWN
Button
Head UP
Button
Foot DOWN
Button
Foot UP
Button
FIGURE 2.3 Raising and Lowering Head and Foot Sections
IVC™ Bariatric Bed
16
Part No 1123842
SECTION 2—OPERATION AND ADJUSTMENT
Emergency Crank
NOTE: For this procedure, refer to FIGURE 2.4.
NOTE: If the bariatric bed must be adjusted manually due to a power outage or an electronic
malfunction, use the emergency crank to make the adjustments.
1. Under the bed, locate the exposed shaft end according to the function you want to
perform.
2. Attach the emergency crank to the motor shaft end of the head section or the motor
shaft end of the foot section.
3. Crank clockwise or counterclockwise to adjust the bed.
NOTE: Push in the emergency crank while turning it the desired direction.
4. Remove the emergency crank.
WARNING
The emergency crank MUST be removed before the bed is used. Failure to remove
the crank may cause damage or personal injury.
NOTE: Bottom of bed shown.
Motor Shaft End
(Head Section)
Foot Section
Head Section
Emergency Crank
Motor Shaft End
(Foot Section)
FIGURE 2.4 Emergency Crank
Optional Bed Rails
WARNING
DO NOT install the optional bed rails without reading and understanding all of the
instructions in the instruction sheet that accompanies the bed rail kit.
Part No 1123842
17
IVC™ Bariatric Bed
SECTION 3—MAINTENANCE
SECTION 3—MAINTENANCE
Washing Bed Ends
CAUTION
DO NOT wash head or foot section. AC motors and electronics are not water
proof.
To protect flooring, ensure bed ends are completely drained and dry before placing
on flooring. Otherwise, remaining dirty water may damage or stain flooring.
Avoid spraying water directly into the gear box ends. Otherwise, damage to the
gear box may occur.
NOTE: For this procedure, refer to FIGURE 3.1.
1. Stand or prop each bed end in an upright position on its legs.
2. Using a mild soap/detergent and soft bristle brush or sponge, scrub all exterior
surfaces.
3. Using a hose and nozzle attachment, rinse bed ends thoroughly with plain cold or
warm water.
NOTE: DO NOT exceed a water temperature of 110° F.
NOTE: Use household tap pressure. DO NOT use pressure washers or steam cleaners.
4. Tip bed end from side to side to allow
any collected or trapped water to drain.
Bed End
5. Thoroughly towel dry bed end and all
components.
6. Repeat drying process until all
components are dry.
NOTE: Ensure that the bed end is completely
dry before storing.
Gear Box
FIGURE 3.1 Washing Bed Ends
Cleaning Head and Foot Sections
1. Unplug the power cord of electric beds before performing maintenance.
2. Wipe down the bed with disinfectant. Allow it to dry completely.
IVC™ Bariatric Bed
18
Part No 1123842
SECTION 3—MAINTENANCE
Maintenance and Cleaning Checklist
Invacare recommends the following maintenance and cleaning procedures be conducted
between uses and at least once every three years. This form is provided as a guide to help
with documentation.
Cleaning and Disinfecting Bed
❑ Unplug the power cord of electric beds before performing maintenance.
❑ Wipe down with disinfectant. Allow to dry completely.
Mechanical Inspection and Maintenance
❑ Inspect all bed components for damage or excessive wear.
❑ Visually examine all welds for cracks.
❑ Inspect the head and foot spring sections for bending, warping or damage.
❑ Check drive shaft and drive shaft connections for bending, damage or excessive wear.
❑ Inspect pull tubes and mounting hardware for bending, damage or excessive wear.
❑ Inspect all bolts and rivets to ensure that they are securely tightened and functioning
properly.
❑ Check sleep surfaces to ensure all links are intact.
❑ Check casters to ensure they lock, if applicable, and roll properly.
Electrical Inspection and Maintenance
❑ Inspect all electrical bed components for damage or excessive wear (i.e., cracked or
broken housings, or worn components).
❑ Check pendant, power and motor cords for chafing, cuts or excessive wear.
❑ Make sure all plugs are fully attached and free of damage.
❑ Check all functions:
A. Head raises and lowers properly.
B. Foot raises and lowers properly.
C. Bed ends raise and lower properly.
PASS/FAIL
❑ PASS: Bed and all components have passed all of the preceding inspection criteria,
and the bed is ready for placement into a client’s home.
❑ FAIL: Bed, or any component, has failed any of the preceding inspection criteria. Tag
the bed or component with a complete description of the failure(s) and have the bed
serviced.
Part No 1123842
19
IVC™ Bariatric Bed
SECTION 4—TROUBLESHOOTING
SECTION 4—TROUBLESHOOTING
WARNING
Read all general guidelines, warnings and cautions before performing any
repair/maintenance on the bed. All repair and maintenance on the bed should be
performed by a qualified technician.
Troubleshooting: Electrical
SYMPTOM
Bed section does not
move.
Full Electric Bed: Hi/Lo
function does not work.
Bed Spring does not stop
moving.
PROBABLE CAUSE
SOLUTIONS
End of stroke reached.
Operate opposite button.
Bed not plugged in.
Ensure power cord is plugged into power
source.
Pendant not functioning.
Ensure Pendant correctly connected to
junction box.
Ensure Pendant cable is not entangled/pinched.
Cables
Ensure cables are not entangled/pinched.
Call the dealer for repair/replacement of
cables and/or motors.
Household fuse or breaker blown.
Check household fuse/breaker box.
Motors are not functioning.
Call dealer.
Hi/Lo Motor
Ensure cables are not entangled or pinched.
Ensure drive shaft is correctly installed.
Pendant
Check for depressed/stuck buttons. If button is
stuck, call dealer for repair.
Bed Hi/Lo movement
does not stop.
Check cables. If damaged, call dealer.
Troubleshooting: Mechanical
SYMPTOM
PROBABLE CAUSE
SOLUTIONS
Bed does not stay in place. Locking casters not locked.
Lock casters.
Bed sections do not move. Pull tube
Check pull tube(s) for binding. Call dealer for
repairs.
Bed ends move in opposite
directions (electrical or
manual bed).
Drive shaft connected to wrong
gear box shaft.
Call dealer.
Hi/Lo function does not
work.
Drive shaft disconnected.
Call dealer.
Pressing function on
pendant results in motion
other than that intended.
Motor cable connections to
junction box incorrect.
Call dealer.
IVC™ Bariatric Bed
20
Part No 1123842
ASSEMBLY, MAINTENANCE AND ADJUSTMENT SECTIONS - FOR DEALERS ONLY
ASSEMBLY, MAINTENANCE AND
ADJUSTMENT SECTIONS FOR DEALERS ONLY
WARNING
The procedures in the following sections MUST be performed by a qualified
technician.
Overview of Procedures
Receiving
Unpacking
❑ Unpacking the Bed Ends
❑ Unpacking Foot and Head Spring Sections
Inspecting
Set-Up
❑ Assembling and Disassembling the Head and Foot Spring Sections
❑ Installing/Removing Universal Bed Ends
❑ Installing Casters
❑ Connecting Head Actuator Jumper Cable
❑ Assembling/Installing/Removing the Drive Shaft
❑ Inspecting the Bed
Storing
Part No 1123842
21
IVC™ Bariatric Bed
SECTION 5—PACKAGING, HANDLING AND SET-UP
SECTION 5—PACKAGING,
HANDLING AND SET-UP
Receiving
1. Count cartons before signing shipping papers.
2. Designate someone at the facility to receive and inspect all merchandise. Use the
master order acknowledgment to check off items as they are received.
3. Compare the number of cartons shipped with the number of cartons actually received
and note such on the consignee copy of the freight bill. Make sure to have the truck
driver sign the copy acknowledging the count.
4. If shortage occurs, IMMEDIATELY contact Invacare Customer Service department at
(800) 333-6900.
Unpacking
The bed is contained in three cartons.
1. Check bed components for any obvious damage to the carton or its contents. If
damage is evident, contact your local Invacare dealer.
2. Remove any loose packing from the cartons.
3. Carefully remove all components from the cartons.
WARNING
DO NOT plug the power cord into a power source until assembly is complete. To
do so could result in damage or personal injury.
DO NOT attempt to operate bed controls prior to completion of assembly.
Otherwise, damage to bed components may occur.
Unpacking Bed Ends
NOTE: For this procedure, refer to FIGURE 5.1 on page 23.
1. The bed end carton includes:
• Two universal bed ends.
• Four casters (two locking and two non-locking casters).
• One drive shaft assembly in two pieces.
IVC™ Bariatric Bed
22
Part No 1123842
SECTION 5—PACKAGING, HANDLING AND SET-UP
Drive Shaft
Bed Ends
Casters (Located in
Lower Carton Insert)
Carton
FIGURE 5.1 Unpacking Bed Ends
Unpacking Foot and Head Sections
NOTE: For this procedure, refer to FIGURE 5.2.
1. The foot section carton includes:
• One foot section (including pendant, junction box with power cord and foot and
hi/lo motors with cables).
• One emergency crank handle.
2. The head section carton includes:
• One head section.
Foot Section
Head Section
Shipping
Carton
Shipping
Carton
NOTE: Not shown - Packing inserts, junction box with cord, motors with cables attached,
pendant, emergency crank handle, and owner’s manual.
FIGURE 5.2 Unpacking Foot and Head Sections
Part No 1123842
23
IVC™ Bariatric Bed
SECTION 5—PACKAGING, HANDLING AND SET-UP
Inspecting
Examine each item carefully for scratches, nicks, dents or any other apparent damage.
NOTE: Check all parts for shipping damage. In case of shipping damage, DO NOT use. Contact
Dealer/Carrier for further instruction.
1. Inspect the power supply cord and cables for cuts or damage to the cord and/or plug.
2. Inspect the junction box for any damage to the connectors.
3. Ensure that the motor plugs are plugged into the junction box and fit properly.
Set-Up
Assembling/Disassembling Head and Foot Sections
WARNING
DO NOT attempt to operate bed controls prior to completion of assembly as
damage to bed components or personal injury may occur.
NOTE: For this procedure, refer to FIGURE 5.3 on page 25.
Assembling
1. Remove the head section of the bed from the packing carton.
NOTE: Place the head section on a flat surface so that the motor guards on the bottom of the frame
are supporting the head section.
2. Remove the foot section of the bed from the packing carton.
3. Remove tie-wraps securing the cables for shipping.
NOTE: Place the foot section on a flat surface so that the motor guards on the bottom of the frame
are supporting the foot section.
4. Align the inside of the head section with the inside of the foot section.
NOTE: Locking pins are located on the foot section frame and will make an audible click when
properly engaged with the head section frame.
5. Push the head section towards the foot section so that the head section frame slides
into the foot section frame and the locking pins engage.
6. Ensure the locking pins are properly engaged by attempting to pull the head section from
the foot section. If the sections separate, repeat STEP 6-7 until the locking pins are secure.
7. Install the universal bed ends. Refer to Installing/Removing Universal Bed Ends on
page 26.
8. Connect the head actuator jumper cable. Refer to Connecting Head Actuator Jumper
Cable on page 28.
IVC™ Bariatric Bed
24
Part No 1123842
SECTION 5—PACKAGING, HANDLING AND SET-UP
9. Assemble and install the drive shaft. Refer to Assembling/Installing/Removing Drive
Shaft on page 30.
10. Activate the bed functions. Refer to Inspecting the Bed on page 32.
Disassembling
1. Lower the head and foot sections completely. Refer to Raising and Lowering Head and
Foot Sections on page 16.
2. Lower the bed to the lowest height. Refer to Raising and Lowering Entire Bed on
page 16.
3. Remove the drive shaft. Refer to Assembling/Installing/Removing Drive Shaft on
page 30.
4. Disconnect the head actuator jumper cable.
5. Remove both universal bed ends. Refer to Installing/Removing Universal Bed Ends on
page 26.
NOTE: Place the bed on a flat surface so that the motor guards on the bottom of the frame are
supporting the bed.
6. Starting with one side of bed, pull the release pin and pull the head section so that it
starts to separate slightly from the foot section.
7. On the opposite side of bed, pull the release pin.
8. Separate the head section from the foot section.
Foot Section
(Inside)
Head Section
(Inside)
Foot Section
Locking Pin
Head Section
NOTE: Motor guards located
on underside of frame
sections.
FIGURE 5.3 Assembling/Disassembling Head and Foot Sections
Part No 1123842
25
IVC™ Bariatric Bed
SECTION 5—PACKAGING, HANDLING AND SET-UP
Installing/Removing Universal Bed Ends
WARNING
DO NOT place your hand between the head section and the universal bed end while
assembling. Otherwise, injury may occur.
NOTE: For this procedure, refer to FIGURE 5.4.
NOTE: Reverse this procedure to remove the universal bed ends.
1. Stand one bed end as close to the head section as possible.
2. With one hand, grasp the head section and raise it until the corner plate head rivets of
the section are high enough to place into the corner locks on the bed end.
3. Tilt the bed end toward the head section and place the corner plate head rivets into the
corner locks.
4. Return the universal bed end to its full upright position. The corner plate head rivets
will lock into place.
5. Repeat STEPS 1-4 to install the remaining bed end to the foot spring section.
6. If necessary, install the casters. Refer to Installing Casters on page 26.
Bed End
Corner Plate
Head Rivets
Rivets
Corner Plate
Head Rivets
Rivets
Bed End
Foot Section
Head Section
Corner Locks
Corner Locks
FIGURE 5.4 Installing/Removing Universal Bed Ends
Installing Casters
WARNING
Ensure that the locking casters are installed diagonally from each other and are
locked. Otherwise, damage or personal injury could occur.
The proper casters are provided with the Bariatric Bed. DO NOT use any other
casters with the Bariatric Bed. Otherwise, damage or personal injury could occur.
Ensure that casters are locked and that the bed does not move before transferring.
DO NOT transfer occupant if bed is not stable.
NOTE: For this procedure, refer to FIGURE 5.5 on page 27.
IVC™ Bariatric Bed
26
Part No 1123842
SECTION 5—PACKAGING, HANDLING AND SET-UP
NOTE: ALWAYS locate locking caster in the same location on each bed end so that they will always
be assembled diagonally opposite each other when inventory is mixed.
NOTE: Position the two locking casters so that they will be diagonally opposite from one another
when the bed is assembled.
NOTE: If two locking casters are not included with the bed, contact an Invacare dealer.
1. To install casters, lay the bed ends flat on the floor.
2. Insert the caster shaft into the caster socket.
3. To prevent excess movement of the bed during assembly, lock each of the two locking
casters by pushing down on the caster lock.
NOTE: Locking the casters may not prevent the bed from moving on slick or slippery surfaces.
4. To unlock each of the two locking casters, push down on the caster lock labeled off.
Universal Bed End
Caster Socket
Caster Shaft
Non-Locking Caster
Caster
Socket
Caster
Shaft
Locking Caster
Unlocked
Locking
Caster
Locking
Caster
Locked
FIGURE 5.5 Installing Casters
Part No 1123842
27
IVC™ Bariatric Bed
SECTION 5—PACKAGING, HANDLING AND SET-UP
Connecting Head Actuator Jumper Cable
WARNING
Ensure that the head actuator jumper cable does not hang loosely below the side
channel. Otherwise, the cable could present a tripping hazard.
NOTE: If the head actuator jumper cable is 43 inches long, refer to Short Head Actuator Jumper
Cable on page 28.
NOTE: If the head actuator jumper cable is 84 inches long, refer to Long Head Actuator Jumper
Cable on page 28.
NOTE: Reverse this procedure to disconnect the head actuator jumper cable.
Short Head Actuator Jumper Cable
NOTE: For this procedure, refer to Detail “A” of FIGURE 5.6 on page 29.
1. Connect the head actuator jumper cable to the cable from the head actuator.
Long Head Actuator Jumper Cable
NOTE: For this procedure, refer to Detail “B” of FIGURE 5.6 on page 29.
1. Thread the head actuator jumper cable from the junction box through the two loops in
the head end.
2. Connect the head actuator jumper cable to the short cable from the head actuator.
3. Gently pull the head actuator jumper cable toward the junction box so that any slack
in the cable is taken up near the junction box.
IVC™ Bariatric Bed
28
Part No 1123842
SECTION 5—PACKAGING, HANDLING AND SET-UP
DETAIL “A” - SHORT HEAD
ACTUATOR JUMPER CABLE
Head Actuator
Connection of Head Actuator Jumper Cable
to Head Actuator
Foot End of Bed
Head End of Bed
Junction Box
Bottom View of Bed
DETAIL “B” - LONG HEAD ACTUATOR JUMPER CABLE
Motor Guard
Loops (Hidden by
Motor Guards)
Side Channel
Motor Guard
Head Actuator
Connection of Head Actuator
Jumper Cable to Head Actuator
Head End of Bed
Slack in Head Actuator Junction Box
Jumper Cable
Foot End of Bed
Bottom View of Bed
FIGURE 5.6 Connecting Head Actuator Jumper Cable
Part No 1123842
29
IVC™ Bariatric Bed
SECTION 5—PACKAGING, HANDLING AND SET-UP
Assembling/Installing/Removing Drive Shaft
NOTE: For this procedure, refer to FIGURE 5.7 and FIGURE 5.8 on page 31.
NOTE: Reverse this procedure to remove the drive shaft.
NOTE: The drive shaft for the Hi/Lo function consists of two sections that are shipped
unassembled. The inner shaft has a positioning spring button, and the outer shaft has three
positioning holes, one storage position hole and a telescoping end.
1. Remove the plastic caps from each end of the drive shaft.
2. Press the spring button on the inner shaft and insert the inner shaft into the outer shaft.
3. Engage the spring button into the third positioning hole. Refer to FIGURE 5.7.
NOTE: A common gear box is used on both bed ends. The bottom output shaft is used at the head
end and the top output shaft is used at the foot end of the bed.
NOTE: Before assembling the bed ensure the drive shaft cover of both gear boxes are in the correct
position: up for the head end and down for the foot end. Refer to FIGURE 5.8.
4. Attach the inner shaft to the bottom gear box output shaft on the head end of the bed.
5. Push in on the spring loaded end of the drive shaft and attach to the Hi/Lo motor
output shaft facing the head end of the bed.
Foot End
Head End
Head End
Gear Box
Foot End
Gear Box
Drive Shaft (Under Side, Center of Bed)
Positioning Holes
Inner Shaft
First
Second
Storage
Third
Spring Loaded End
Spring Button
Plastic Caps
FIGURE 5.7 Assembling/Installing/Removing Drive Shaft
6. Locate the Hi/Lo motor output shaft spring-loaded coupler.
NOTE: If necessary, shift the bed end to the right or left to align the Hi/Lo motor output shaft
spring-loaded coupler with the foot end gear box.
7. Ensure the Hi/Lo motor output shaft spring-loaded coupler is properly aligned with
the foot end gear box as shown in Detail “A” of FIGURE 5.8.
IVC™ Bariatric Bed
30
Part No 1123842
SECTION 5—PACKAGING, HANDLING AND SET-UP
8. Release the Hi/Lo motor output shaft spring-loaded coupler by pushing in against the
Hi/Lo motor output shaft spring-loaded coupler and turning clockwise.
NOTE: The coupling will release and engage the foot end top gear box output shaft cross pins.
9. Ensure that all components are securely installed.
WARNING
Close the drive shaft covers over all drive shafts that are not in use before placing
the bed in service. Otherwise, damage or injury may occur.
DETAIL “A”
Bed End
Top Gear Box Output
Drive Shaft
Hi/Lo Motor Output Shaft
Spring-Loaded Coupler
Output Side
Locked Position
Drive Shaft
Hi/Lo Motor Output Shaft
(Full Electric Only)
Hi/Lo Motor Output Shaft
Spring-Loaded Coupler
Top Gear Box Output
Drive Shaft
Bottom Gear Box
Output Drive Shaft
(Covered)
Drive Shaft Cover
Unlocked Position
D
T EN
FOO
D
N
DE
HEA
Gear Box
Input Side
Drive Shaft
Hi/Lo Motor Output Shaft
(Full Electric Only)
Hi/Lo Motor Output Shaft
Spring-Loaded Coupler
Hi/Lo Motor
Input Drive Shaft
(Covered)
Gear Box
FIGURE 5.8 Assembling/Installing/Removing Drive Shaft
Part No 1123842
31
IVC™ Bariatric Bed
SECTION 5—PACKAGING, HANDLING AND SET-UP
Inspecting the Bed
WARNING
The removal and installation of cables are to be performed by a qualified technician.
All motors, the junction box, connectors and wiring are located on the foot and
head sections.
NOTE: For this procedure, refer to FIGURE 5.9.
NOTE: All connectors will arrive plugged into the junction box.
1. Check all electrical connections on junction box at foot end to ensure that all motors
are plugged into the correct locations.
2. Plug the junction power box cord into a 110-volt outlet.
Hi/Lo Motor
Connector
Pendant Cord
Connector
Full-Electric
Junction Box
Pull Tube
Power Cord
Connector
Head Motor
Connector
Foot Motor
Connector
Power Cord
Pendant and Cord
FIGURE 5.9 Inspecting the Bed
Storing the Beds
WARNING
DO NOT place other objects on top of the cartons.
If bed is not being assembled immediately, retain the cartons and packaging for storage
until ready for assembly.
Store the Invacare homecare bed in a dry area.
IVC™ Bariatric Bed
32
Part No 1123842
SECTION 6—MAINTENANCE
SECTION 6—MAINTENANCE
Washing Bed Ends
CAUTION
DO NOT wash head or foot section. AC motors and electronics are not water
proof.
NOTE: For this procedure, refer to FIGURE 6.1.
1. Stand or prop each bed end in an upright position on its legs.
2. Using a mild soap/detergent and soft bristle brush or sponge, scrub all exterior
surfaces.
3. Using a hose and nozzle attachment, rinse bed ends thoroughly with plain cold or
warm water.
NOTE: DO NOT exceed a water temperature of 110° F.
NOTE: Use household tap pressure. DO NOT use pressure washers or steam cleaners.
CAUTION
To protect flooring, ensure bed ends are completely drained and dry before placing
on flooring. Otherwise, remaining dirty water may damage or stain flooring.
Avoid spraying water directly into the gear box ends. Otherwise, damage to the
gear box may occur.
4. Tip bed end from side to side to allow
any collected or trapped water to drain.
Bed End
5. Thoroughly towel dry bed end and all
components.
6. Repeat drying process until all
components are dry.
NOTE: Ensure that the bed end is completely
dry before storing.
Gear Box
FIGURE 6.1 Washing Bed Ends
Cleaning Head and Foot Sections
1. Unplug the power cord of electric beds before performing maintenance.
2. Wipe down the bed with disinfectant. Allow it to dry completely.
Part No 1123842
33
IVC™ Bariatric Bed
SECTION 6—MAINTENANCE
Maintenance Checklist
Invacare recommends the following maintenance and cleaning procedures be conducted
between users or as needed. This form is provided as a guide to help with documentation.
Mechanical Inspection and Maintenance
❑ Inspect all bed components for damage or excessive wear.
❑ Visually examine all welds for cracks.
❑ Inspect the head and foot spring sections for bending, warping or damage.
❑ Check drive shaft and drive shaft connections for bending, damage or excessive wear.
❑ Inspect pull tubes and mounting hardware for bending, damage or excessive wear.
❑ Inspect all bolts and rivets to ensure that they are securely tightened and functioning
properly.
❑ Inspect bed ends for proper operation.
A. Adjust bed ends to the lowest position.
B. Remove universal bed ends from head or foot spring.
C. Remove universal bed end caps and plastic cover.
D. Inspect cables and pulleys for wear.
E. Inspect Acme screws for lubrication. Apply a light lithium based grease if
necessary.
F. Reinstall the plastic cover and end caps.
❑ Check casters to ensure they lock, if applicable, and roll properly.
Electrical Inspection and Maintenance
❑ Inspect all electrical bed components for damage or excessive wear (i.e., cracked or
broken housings, or worn components).
❑ Check pendant, power and motor cords for chafing, cuts or excessive wear.
❑ Make sure all plugs are fully attached and free of damage.
❑ Check all functions (head, foot, and bed ends raise and lower properly).
Pass/Fail
❑ PASS: Bed and all components have passed all of the above inspection criteria and
the bed is ready for placement into a client’s home.
❑ FAIL: Bed, or any component, has failed any of the above inspection criteria. Tag the
bed or component with a complete description of the failure(s) and have the bed
serviced.
IVC™ Bariatric Bed
34
Part No 1123842
SECTION 7—TROUBLESHOOTING
SECTION 7—TROUBLESHOOTING
WARNING
Read all general guidelines, warnings and cautions before performing any
repair/maintenance on the bed. All repair and maintenance on the bed should be
performed by a qualified technician.
Troubleshooting: Electrical
SYMPTOM
PROBABLE CAUSE
SOLUTIONS
Bed section does not
move.
End of stroke reached.
Operate opposite button.
Full Electric Bed: Hi/Lo
function does not work.
Bed not plugged in.
Ensure power cord is plugged into power
source.
Pendant not functioning.
Ensure Pendant correctly connected to
junction box. Refer to FIGURE 5.9.
Ensure Pendant cable is not entangled/pinched.
Cables
Ensure motor cable(s) correctly connected.
Refer to FIGURE 5.9.
Ensure cables are not entangled/pinched.
Call the dealer for repair/replacement of
cables and/or motors.
Household fuse or breaker blown.
Check household fuse/breaker box.
Motors are not functioning.
Call dealer.
Hi/Lo Motor
Ensure Hi/Lo motor cable is correctly
connected. Refer to FIGURE 5.9.
Ensure cables are not entangled or pinched.
Ensure drive shaft is correctly installed.
Pendant
Check for depressed/stuck buttons. If button is
stuck, call dealer for repair.
Bed Spring does not stop
moving.
Bed Hi/Lo movement
does not stop.
Part No 1123842
Check cables. If damaged, call dealer.
35
IVC™ Bariatric Bed
SECTION 7—TROUBLESHOOTING
Troubleshooting: Mechanical
SYMPTOM
PROBABLE CAUSE
SOLUTIONS
Bed does not stay in place. Locking casters not locked.
Lock casters. Refer to Installing Casters on
page 26.
Bed sections do not move. Pull tube
Ensure pull tubes are properly connected.
Refer to FIGURE 5.9.
Check pull tube(s) for binding. Call dealer for
repairs.
Bed ends move in opposite
directions (electrical or
manual bed).
Drive shaft connected to wrong
gear box shaft.
Reinstall drive shaft. Refer to Assembling/Installing/Removing Drive Shaft on
page 30.
Hi/Lo function does not
work.
Drive shaft disconnected.
Reinstall drive shaft. Refer to Assembling/Installing/Removing Drive Shaft on
page 30.
Pressing function on
pendant results in motion
other than that intended.
Motor cable connections to
junction box incorrect.
Verify connections. Refer to FIGURE 5.9.
IVC™ Bariatric Bed
36
Part No 1123842
APPENDIX
APPENDIX
SPECIAL NOTE
For your convenience, the March 2006 version of the FDA’s bed safety guidelines
are provided in this section. The information from the FDA’s brochure, published by
Hospital Bed Safety Workgroup, is reproduced verbatim, the latest revision of
which is available at http://www.fda.gov.
A Guide to Bed Safety Bed Rails in Hospitals, Nursing
Homes and Home Health Care: The Facts
Bed Rail Entrapment Statistics
Today there are about 2.5 million hospital and nursing home beds in use in the United
States. Between 1985 and 2005, 691 incidents of patients* caught, trapped, entangled, or
strangled in beds with rails were reported to the U.S. Food and Drug Administration. Of
these reports, 413 people died, 120 had a nonfatal injury, and 158 were not injured because
staff intervened. Most patients were frail, elderly or confused.
*NOTE: In this brochure, the term patient refers to a resident of a nursing home, any individual
receiving services in a home care setting, or patients in hospitals.
Patient Safety
Patients who have problems with memory, sleeping, incontinence, pain, uncontrolled
body movement, or who get out of bed and walk unsafely without assistance, must be
carefully assessed for the best ways to keep them from harm, such as falling. Assessment
by the patient’s health care team will help to determine how best to keep the patient safe.
Historically, physical restraints (such as vests, ankle or wrist restraints) were used to try
to keep patients safe in health care facilities. In recent years, the health care community
has recognized that physically restraining patients can be dangerous. Although not
indicated for this use, bed rails are sometimes used as restraints. Regulatory agencies,
health care organizations, product manufacturers and advocacy groups encourage
hospitals, nursing homes and home care providers to assess patients’ needs and to
provide safe care without restraints.
The Benefits and Risks of Bed Rails
Potential benefits of bed rails include:
• Aiding in turning and repositioning within the bed.
• Providing a hand-hold for getting into or out of bed.
• Providing a feeling of comfort and security.
• Reducing the risk of patients falling out of bed when being transported.
• Providing easy access to bed controls and personal care items.
37
The FDA’s Brochure
APPENDIX
Potential risks of bed rails may include:
• Strangling, suffocating, bodily injury or death when patients or part of their body are
caught between rails or between the bed rails and mattress.
• More serious injuries from falls when patients climb over rails.
• Skin bruising, cuts, and scrapes.
• Inducing agitated behavior when bed rails are used as a restraint.
• Feeling isolated or unnecessarily restricted.
• Preventing patients, who are able to get out of bed, from performing routine activities
such as going to the bathroom or retrieving something from a closet.
Meeting Patients' Needs for Safety
Most patients can be in bed safely without bed rails. Consider the following:
• Use beds that can be raised and lowered close to the floor to accommodate both
patient and health care worker needs.
• Keep the bed in the lowest position with wheels locked.
• When the patient is at risk of falling out of bed, place mats next to the bed, as long as
this does not create a greater risk of accident.
• Use transfer or mobility aids.
• Monitor patients frequently.
• Anticipate the reasons patients get out of bed such as hunger, thirst, going to the
bathroom, restlessness and pain; meet these needs by offering food and fluids,
scheduling ample toiletting, and providing calming interventions and pain relief.
When bed rails are used, perform an on-going assessment of the patient’s physical and
mental status; closely monitor high-risk patients. Consider the following:
• Lower one or more sections of the bed rail, such as the foot rail.
• Use a proper size mattress or mattress with raised foam edges to prevent patients from
being trapped between the mattress and rail.
• Reduce the gaps between the mattress and side rails.
Which Ways of Reducing Risks are Best?
A process that requires ongoing patient evaluation and monitoring will result in
optimizing bed safety. Many patients go through a period of adjustment to become
comfortable with new options. Patients and their families should talk to their health care
planning team to find out which options are best for them.
The FDA’s Brochure
38
APPENDIX
Patient or Family Concerns About Bed Rail Use
If patients or family ask about using bed rails, health care providers should:
• Encourage patients or family to talk to their health care planning team to determine
whether or not bed rails are indicated.
• Reassure patients and their families that in many cases the patient can sleep safely
without bed rails.
• Reassess the need for using bed rails on a frequent, regular basis.
To report an adverse event or medical device problem, please call FDA’s MedWatch
Reporting Program at 1-800-FDA-1088.
For additional copies of the brochure, see the FDA’s website at http://www.fda.gov/cdrh/
beds/
For more information about this brochure, contact Beryl Goldman at 610-388-5580 or by
e-mail at [email protected]. She has volunteered to answer questions.
For information regarding a specific hospital bed, contact the bed manufacturer directly.
Developed by the Hospital Bed Safety Workgroup
Participating Organizations:
• AARP
• ABA Tort and Insurance Practice
Section
• American Association of Homes and
Services for the Aging
• American Health Care Association
• American Medical Directors
Association
• American Nurses Association
• American Society for Healthcare
Engineering of the American Hospital
Association
• American Society for Healthcare Risk
Management
• Basic American Metal Products
• Beverly Enterprises, Inc.
• Care Providers of Minnesota
• Carroll Healthcare
• DePaul College of Law
• ECRI
• Evangelical Lutheran Good Samaritan
Society
• Hill-Rom Co., Inc.
• Joint Commission on Accreditation of
Healthcare Organizations
• Medical Devices Bureau, Health
Canada
• National Association for Home Care
• National Citizens’ Coalition for
Nursing Home Reform
• National Patient Safety Foundation
• RN+ Systems
• Stryker Medical
• Sunrise Medical, Inc.
• The Jewish Home and Hospital
• Untie the Elderly, The Kendal
Corporation
• U.S. Food and Drug Administration
Updated March 2006
39
The FDA’s Brochure
LIMITED WARRANTY
PLEASE NOTE: THE WARRANTY BELOW HAS BEEN DRAFTED TO COMPLY WITH FEDERAL LAW
APPLICABLE TO PRODUCTS MANUFACTURED AFTER JULY 4, 1975.
This warranty is extended only to the original purchaser who purchases this product when new and unused
from Invacare or a dealer. This warranty is not extended to any other person or entity and is not transferable
or assignable to any subsequent purchaser or owner. Coverage under this warranty will end upon any such
subsequent sale or other transfer of title to any other person.
This warranty gives you specific legal rights and you may also have other legal rights which vary from state to
state.
Invacare warrants the mechanical and electrical components of this product when purchased new and unused to
be free from defects in materials and workmanship for a period of one year from date of purchase from Invacare
or a dealer, with a copy of the seller’s invoice required for coverage under this warranty. Invacare warrants all
welds of this product when purchased new and unused to be free from defects in materials and workmanship for
a period of five years from date of purchase from Invacare or a dealer, with a copy of the seller’s invoice required
for coverage under this warranty. If within such warranty periods any such product shall be proven to be
defective, such product shall be repaired or replaced, at Invacare's option. This warranty does not include any
labor or shipping charges incurred in replacement part installation or repair of any such product. Invacare's sole
obligation and your exclusive remedy under this warranty shall be limited to such repair and/or replacement.
For warranty service, please contact the dealer from whom you purchased your Invacare product. In the
event you do not receive satisfactory warranty service, please write directly to Invacare at the address on the
back cover, provide dealer's name, address, and the date of purchase, indicate nature of the defect and, if the
product is serialized, indicate the serial number. Do not return products to our factory without our prior
consent.
LIMITATIONS AND EXCLUSIONS: THE FOREGOING WARRANTY SHALL NOT APPLY TO SERIAL
NUMBERED PRODUCTS IF THE SERIAL NUMBER HAS BEEN REMOVED OR DEFACED, PRODUCTS
SUBJECTED TO NEGLIGENCE, ACCIDENT, IMPROPER OPERATION, MAINTENANCE OR STORAGE,
PRODUCTS MODIFIED WITHOUT INVACARE'S EXPRESS WRITTEN CONSENT (INCLUDING, BUT NOT
LIMITED TO, MODIFICATION THROUGH THE USE OF UNAUTHORIZED PARTS OR ATTACHMENTS;
PRODUCTS DAMAGED BY REASON OF REPAIRS MADE TO ANY COMPONENT WITHOUT THE
SPECIFIC CONSENT OF INVACARE, OR TO A PRODUCT DAMAGED BY CIRCUMSTANCES BEYOND
INVACARE'S CONTROL, AND SUCH EVALUATION WILL BE SOLELY DETERMINED BY INVACARE. THE
WARRANTY SHALL NOT APPLY TO NORMAL WEAR AND TEAR OR FAILURE TO ADHERE TO THE
PRODUCT INSTRUCTIONS.
THE FOREGOING EXPRESS WARRANTY IS EXCLUSIVE AND IN LIEU OF ANY OTHER WARRANTIES
WHATSOEVER, WHETHER EXPRESS OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF
MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, AND THE SOLE REMEDY FOR
VIOLATIONS OF ANY WARRANTY WHATSOEVER, SHALL BE LIMITED TO REPAIR OR
REPLACEMENT OF THE DEFECTIVE PRODUCT PURSUANT TO THE TERMS CONTAINED HEREIN.
THE APPLICATION OF ANY IMPLIED WARRANTY WHATSOEVER SHALL NOT EXTEND BEYOND
THE DURATION OF THE EXPRESS WARRANTY PROVIDED HEREIN. INVACARE SHALL NOT BE
LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES WHATSOEVER.
SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR
CONSEQUENTIAL DAMAGE, OR LIMITATION OF HOW LONG AN IMPLIED WARRANTY LASTS, SO
THE ABOVE EXCLUSION AND LIMITATION MAY NOT BE APPLICABLE.
THIS WARRANTY SHALL BE EXTENDED TO COMPLY WITH STATE/PROVINCIAL LAWS AND
REQUIREMENTS.
Invacare Corporation
www.invacare.com
USA
One Invacare Way
Elyria, Ohio USA
44036-2125
800-333-6900
Canada
570 Matheson Blvd E Unit 8
Mississauga Ontario
L4Z 4G4 Canada
800-668-5324
All rights reserved. Trademarks are
identified by the symbols ™ and ®. All
trademarks are owned by or licensed to
Invacare Corporation unless otherwise
noted.
©2007 Invacare Corporation
Part No 1123842
Rev G - 08/07